Provider Demographics
NPI:1871226803
Name:HEGEMAN, SONJA
Entity type:Individual
Prefix:
First Name:SONJA
Middle Name:
Last Name:HEGEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SONJA
Other - Middle Name:
Other - Last Name:MEHRING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:12101 ROBSON ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23233-1735
Mailing Address - Country:US
Mailing Address - Phone:804-364-2928
Mailing Address - Fax:
Practice Address - Street 1:1001 E LEIGH ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5004
Practice Address - Country:US
Practice Address - Phone:804-828-7999
Practice Address - Fax:804-828-5941
Is Sole Proprietor?:No
Enumeration Date:2022-07-07
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024184642363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner